PS 16-2: Request for Access to Personal Health Care Information (PHI): DES Authorization to Release Information
Date:
07/21/2016
Note that as of July 8, 2019, DES has a new Authorization to Release Information form, https://www.masslegalservices.org/content/des-authorization-release-information.
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File Attachment:
| Attachment | Size |
|---|---|
 PS 16-2 DES Authorization to Release Protected Health Information.docx | 31.7 KB |
| DES - Autho to Release Info 11-1-16.docx | 50.11 KB |
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